Individual provider · Type 1 NPI

Robert Allen Mikal Lange

Student in an Organized Health Care Education/Training Program · Indianapolis, IN

NPI number 1386450146 Active

Practice location

420 N White River Pkwy West Dr Apt 302
Indianapolis, IN 46222-4588

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386450146

Robert Allen Mikal Lange's National Provider Identifier is 1386450146, issued on Dec 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 6, 2024.